Bill > HB555

This bill amends the Pennsylvania Consolidated Statutes to add a new chapter on Association Health Plans (AHPs). Key provisions of the bill include: 1. Defining the requirements for an association to sponsor an AHP, including being actively in existence for at least 2 years, having a governing board with at least 75% employee representatives, and prohibiting associations formed or controlled by insurers. 2. Requiring AHP coverage to be fully insured, cover at least 51 lives, and be available to all employees of member employers regardless of health factors. 3. Mandating that AHP coverage must comply with Affordable Care Act group market requirements, provide essential health benefits, and have an actuarial value of at least 60%. 4. Establishing rules for how health insurers must calculate rates and premiums for AHP coverage, based on the collective experience of the enrolled employees. 5. Providing the Pennsylvania Insurance Department with authority to regulate and enforce the new AHP requirements. The bill aims to expand access to affordable group health insurance coverage for small employers through the creation of these Association Health Plans.